Ann Surg Treat Res.  2015 Jul;89(1):48-50. 10.4174/astr.2015.89.1.48.

Renal autotransplantation in open surgical repair of suprarenal abdominal aortic aneurysm

• Min EK
• Kim YH
• Han DJ
• Han Y
• Kwon H
• Choi BH
• Park H
• Choi JY
• Kwon TW
• Cho YP

• KMID: 2047714
• DOI: http://doi.org/10.4174/astr.2015.89.1.48

Abstract

Although the standard treatment of abdominal aortic aneurysm has shifted from open surgery to endovascular repair, open surgery has remained the standard of care for complex aneurysms involving the visceral arteries and in patients unsuitable for endovascular aneurysm repair. Postoperative renal insufficiency may occur after open surgical repair of suprarenal abdominal aortic aneurysm. Methods of minimizing renal ischemic injury include aortic cross-clamping and renal reconstruction techniques. This report describes the use of renal autotransplantation for renal reconstruction during open surgical repair of a suprarenal abdominal aortic aneurysm. This technique was successful, suggesting its feasibility for open suprarenal abdominal aortic aneurysm repair, minimizing renal ischemic injury and optimizing postoperative renal function.

Keyword

Aorta; Aneurysm; Kidney; Transplantation

MeSH Terms

Aneurysm
Aorta
Aortic Aneurysm, Abdominal*
Arteries
Autografts*
Humans
Kidney
Renal Insufficiency
Standard of Care
Transplantation

Figure

• 

  Fig. 1 Initial contrast-enhanced computed tomography image showing (A) a fusiform abdominal aortic aneurysm of maximal diameter 7.1 cm, (B) involving both renal arteries (white arrows).

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  Fig. 2 Intraoperative findings showing (A) interposition of an aorto-bi-iliac Y-graft with a polytetrafluoroethylene vascular prosthetic graft and (B) renal autotransplantation.

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